TRI-PHASE GROUP INC (NPI# 1043483704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043483704 |
| Entity Type | Organization |
| Organization Name | TRI-PHASE GROUP INC |
| Practice Address |
2355 E Elmwood St Mesa AZ 85213-5909 |
| Mailing Address |
18403 W Verdin Rd Goodyear AZ 85338-5081 |
| Practice Telephone | 6234746326 |
| Practice Fax Number | 6234746516 |
| Mailing Telephone | 6234746326 |
| Mailing Fax Number | 6234746516 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | MRS. SHERRI MCKINNEY (OWNER/DIRECTOR) |
| Authorized Official Telephone | 6234746326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
BH-2891 | AZ | Residential Treatment Facilities |
| Street Address |
2355 E ELMWOOD ST |
| City | MESA |
| State | AZ |
| Zip Code | 85213-5909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942473038 | Elmwood Group Homes | Psychiatric Residential Treatment Facility | 2355 E Elmwood St, Mesa, AZ 85213-5909 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1679099402 | Roxanne Nicole Greene | Physical Therapist | 2642 E Fairfield St, Mesa, AZ 85213 | 2017-08-14 |
| 1861921405 | Cameron Kastl | Dentist | 820 E University Dr, Mesa, AZ 85213 | 2017-06-07 |
| 1033667860 | Ricardo Helaman Perez | Dentist | 459 North Val Vista Drive, Mesa, AZ 85213 | 2016-09-21 |
| 1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
| 1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1619299286 | Arizona Internal Medicine Associates LLC | Internal Medicine | 3435 E. Kael St, Mesa, AZ 85213 | 2010-02-23 |
| 1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
| 1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
| Find all providers in zip 85213 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578736039 | Tri-phase Group Home Inc | Substance Abuse Rehabilitation Facility | 111 S Lazona Dr, Mesa, AZ 85204-1222 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518417583 | Life Change Family Services Inc | Substance Abuse Rehabilitation Facility | 20018 N Toledo Ave, Maricopa, AZ 85138-5359 | 2016-10-13 |
| 1437401536 | The Haven | Substance Abuse Rehabilitation Facility | 1015 E Adelaide Dr, Tucson, AZ 85719-2605 | 2012-10-12 |
| 1033497276 | Arivaca Ranch LLC | Substance Abuse Rehabilitation Facility | 38000 South Arivaca Ranch Road, Arivaca, AZ 85601 | 2011-07-21 |
| 1275861007 | Mhcti LLC | Substance Abuse Rehabilitation Facility | 3771 E Brooks Farms Rd, Gilbert, AZ 85298-5811 | 2009-12-07 |
| 1679800106 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1800 Rio Vista Dr, Bullhead City, AZ 86442-7229 | 2009-11-04 |
| 1396914735 | Tri-phase Group Home Inc | Substance Abuse Rehabilitation Facility | 1575 E Betsy Ln Unit D, Gilbert, AZ 85296-3759 | 2008-02-28 |
| 1487862959 | Navajo Nation Department of Behavioral Health Services | Substance Abuse Rehabilitation Facility | Navajo Route 7, Duplex 2003, Chinle, AZ 86503-0777 | 2007-05-18 |
| 1780809376 | American Indian Prevention Coalition | Substance Abuse Rehabilitation Facility | 1902 N 23rd St, Phoenix, AZ 85006-2428 | 2007-04-17 |
| 1114141918 | American Indian Prevention Coalition | Substance Abuse Rehabilitation Facility | 1622 N 27th Pl, Phoenix, AZ 85008-3610 | 2007-04-12 |
| 1356565105 | American Indian Prevention Coalition | Substance Abuse Rehabilitation Facility | 4197 E Shelton Rd, Willcox, AZ 85643-4806 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRI-PHASE GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.